DEPARTMENT OF INSURANCE

Affiliations

Name	Gaines, Mark Titus	DOIID	568049	NAIC NPN	7662214

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	2/6/2004	7/31/2026
Active	Resident	Agent	Life	1/30/2004	7/31/2026
Active	Resident	Agent	Property	6/6/2003	7/31/2026
Active	Resident	Agent	Casualty	6/27/2003	7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/9/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/9/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/21/2006	1/23/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/21/2006	1/23/2009
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/17/2012
Active	Bristol West Insurance Company	301655	Agent - Property	7/17/2012
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/5/2004	12/9/2025
Active	FB Insurance Company (The)	301763	Agent - Casualty	6/27/2003
Active	FB Insurance Company (The)	301763	Agent - Property	6/6/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/25/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/25/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/2/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/2/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/27/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/6/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/7/2004
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/7/2004
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	7/22/2004	11/8/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/4/2014	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/4/2014	2/13/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	3/26/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	3/26/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	4/7/2004
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/4/2014